First Responder EMS Curriculum for Training Centers in Eurasia

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154 First Responder EMS Curriculum/AIHA, July 2002
Bleeding and Soft Tissue InjuriesContents1. Objectivesa. Cognitiveb. Affectivec. Psychomotor2. Introduction3. Bleedinga. Types of External Bleedingb. Internal Bleedingc. Shock4. Specific Injuriesa. Types of Soft Tissue Injuriesb. Role of the First Responderc. Management5. Special Considerationsa. Chest Injuriesb. Impaled Objectsc. Eviscerationsd. Amputations6. Burnsa. Role of the First Responderb. Managementc. Chemical Burnsd. Electrical Burnse. Burns Sustained by Infants and Children7. Dressing and Bandaging8. Application of Content Materiala. Procedural (How)b. Contextual (When, Where, Why)9. Student Activitiesa. Auditory (Hearing)b. Visual (Seeing)c. Kinesthetic (Doing)1. Objectivesa. Cognitive ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Differentiate between arterial, venous, and capillary bleeding.2. State the emergency medical care for external bleeding.3. Establish the relationship between body substance isolation and bleeding.4. List the signs of internal bleeding.5. List the steps in the emergency medical care of the patient with signs and symptomsof internal bleeding.6. Establish the relationship between body substance isolation and soft tissue injuries.7. State the types of open soft tissue injuries.8. Describe the emergency medical care of the patient with a soft tissue injury.9. Discuss the emergency medical care considerations for a patient with a penetratingchest injury.10. State the emergency medical care considerations for a patient with an open woundto the abdomen.11. Describe the emergency medical care for an impaled object.12. State the emergency medical care for an amputation.13. Describe the emergency medical care for burns.14. List the functions of dressings and bandages.b. Affective ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Explain the rationale for body substance isolation when dealing with bleeding andsoft tissue injuries.First Responder EMS Curriculum/AIHA, July 2002 155
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PrefaceIn the region of Central and
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Practical Lab MaterialsAirway .....
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Guidelines for Conducting the First
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sheets supplied in this guide will
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should have attended a workshop tha
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Job Description: First ResponderThe
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c. Additional Skills1. Use of the t
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as possible. After students have pr
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Guidelines for Case-Based Practical
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General Lecturing GuidelinesChapter
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discussing the different methods of
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survival. First Responders include
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medical director functions to ensur
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First Responder EMS Curriculum/AIHA
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Well-Being of the First ResponderCo
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and family. Do not become defensive
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1. Eye protection. Safety glasses m
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Legal and Ethical IssuesContents1.
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a. Expressed ConsentExpressed conse
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14. DocumentationProviding written
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The Human Body: A Systems ApproachC
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that the pharynx performs the dual
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c. Kinesthetic (Doing)1. Students w
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38 First Responder EMS Curriculum/A
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Lifting and Moving PatientsContents
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If the patient is on the floor or g
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7. Application of Content Materiala
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14. Describe how to clear a foreign
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Precautions1. Finger must not press
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. Finger SweepsThis method involves
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4. Place your other fingers along t
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. Management of the Obstructed Airw
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5. Students will practice ventilati
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19. Explain what additional questio
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can be determined by questioning th
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Determine estimated time of arrival
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E - Events Leading to the Injury or
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c. Kinesthetic (Doing)1. Students w
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100 First Responder EMS Curriculum/
Page 133 and 134: CirculationContents1. Objectivesa.
Page 135 and 136: Veins are the vessels that carry bl
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Page 139 and 140: Steps of Infant CPRStep 1: Assess r
Page 141 and 142: a. Use of the Semiautomatic Externa
Page 143: PracticalEvaluate the actions of th
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Page 153 and 154: Medical EmergenciesContents1. Objec
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Page 161 and 162: Signs and SymptomsSigns and symptom
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Page 186 and 187: 2. Attend to the feelings of the pa
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Page 190 and 191: Sharp, pointed objects cause penetr
Page 192 and 193: c. Chemical BurnsChemical burns fro
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Page 204 and 205: 2. Demonstrate opening the airway i
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Page 208 and 209: soft tissue injuries. Remember, the
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Page 222 and 223: 2. IntroductionChildbirth can occur
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Infants and ChildrenContents1. Obje
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Suctioning the airway also is an im
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6. Common Problems in Infants and C
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Remember that parents will be in ag
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Vigorous shaking of a baby may show
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3. DispatchDispatch is the communic
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in the absence of airway problems,
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Documentation and Quality Managemen
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Identify concrete, specific project
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Practical Lab: AirwayObjectives1. C
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6. Students will practice insertion
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Assistant Instructor:The instructor
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Practical Lab: CirculationObjective
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Practical Lab: Illness and InjuryOb
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Instructor will demonstrate the pro
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19. Students will practice manual s
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Assistant InstructorThe instructor-
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Practical Lab: Lifting and Moving P
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EvaluationPracticalEvaluate the act
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4. Insert it posteriorly. Bevel sho
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• 20 breaths per minute for child
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one per second, each with the inten
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Skill Descriptions: Patient Assessm
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Skill Descriptions: CirculationNote
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4. To determine whether the victim
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• Place the two fingers of one ha
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Skill Descriptions: Illness and Inj
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• Apply enough pressure to contro
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12. As the feet are delivered, gras
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2. The rescuer at the head places o
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Skill Algorithms: AirwayForeign Bod
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Trauma PatientSkill Algorithms: Pat
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Skill Algorithms: Patient Assessmen
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Two-Person CPRSkill Algorithms: Cir
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External BleedingSkill Algorithms:
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Skill Algorithms: Illness and Injur
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Skill Algorithms: Childbirth and Ch
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Skill Algorithms: Lifting and Movin
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Skill Algorithms: Lifting and Movin
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Sample Case Scenario - Patient Asse
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Sample Case Scenario - Illness and
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Sample Case Scenario - Childbirth a
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• Demonstrate the extremity lift.
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Figure 6. Check for unresponsivenes
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Head Tilt-Chin Lift ManeuverTo acco
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help. Monitor the victim, particula
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necessary to open the victim's mout
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In the second technique (lateral te
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is important to note that this smal
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CirculationAssessment: No Pulse Che
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these arteries even when hypotensio
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the nipples. This method has been u
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Current evidence indicates that the
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assess the victim's responsiveness
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arrhythmias should be instructed to
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jaw lift, for use in unresponsive v
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Figure 29. Mouth-to-mouth breathing
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Types of Ventilation Bags (Manual R
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Gastric Inflation. Increasing inspi
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. Specificity (ability to correctly
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After provision of approximately 20
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Chest Compression in the Infant (<
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ventilation after every fifth compr
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Coordination of Compressions and Re
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necessary to maintain optimal venti
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5. Keep foreign objects (i.e., marb
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Figure 38. Subdiaphragmaticabdomina
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tongue. Then use a hooking action t
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APPENDIX DRelief of Foreign-Body Ai
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Figure 41. Infant back blows to rel
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4. Repeat steps 1 through 3 until t
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6. It may be necessary for the Firs
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18. The correct rate to deliver che
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30. What is the greatest danger to
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First Responder Post-Course Test1.
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12. Which of the following statemen
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24. Components of an ongoing assess
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36. An adult patient sustains burns
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48. Which of the following is true?
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First Responder Extra Test Question
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11. Negligence is the deviation fro
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Answer KeyFirst Responder Extra Tes
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First Responder EMS Curriculum for Training Centers in Eurasia

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